Delivery Systems

• The “O&O mdc” Hydrophilic IOL Preloaded System consists of a removable Lens Rolling System (LRS), moulded from biocompatible copolymers, which is designed for use in tandem with our EasyShooter IOL Injector and MonoGlide cartridges.
• In the Hydrophilic IOL Preloaded System, the Lens Rolling System is made up of two parts.
  • Lens Rolling System, Part 1 is designed, once assembled and preloaded with the IOL, to be stored in an Isotonic Buffer Solution in the “O&O mdc” holster, which is then heat-sealed with an aluminium lid. LRS Part 1 is then ready for your preferred sterilisation method (Steam or Gamma).
    Note: If using Steam, please remember that sterilisation has to have an appropriate counter pressure, at least during the cooling phase...
  • Lens Rolling System, Part 2 incorporates the “O&O mdc” special “Gliding Agent”, which is also found in the MonoGlide cartridges. It can be sterilised by means of Gamma, EtO or H₂O₂ Plasma. Depending on your packaging methods, this can give an expiry date of three to five years.
• The combined Lens Rolling System, by means of a simple mechanical action, folds the IOL into the optimum position and pushes it through the Lens Rolling System into the MonoGlide cartridge.
• As with all “O&O mdc” products, the Hydrophilic IOL Preloaded System is both extremely practical and cost-effective, with the additional benefit of being exceptionally easy to use.

• The MonoGlide cartridge, depending on whether the surgical technique used is docking or traditional, enables the surgeon to make a microincision of between 2.00 mm and 2.60 mm.
• The MonoGlideMini cartridge allows the surgeon to control the IOL injection via a sub microincision of only 1.70 mm and 2.20 mm, subject to the surgical technique used. This is, however, conditional on the elasticity of the hydrophobic material used.

• Remove the sterilised LRS, Part 1, from the holster, (Fig.1).
• Remove the security blocker (Fig.2).
• LRS, Part 1, preloaded with the IOL, slots onto LRS, Part 2, which is already clipped directly on top of the Injector body, (Figs.3 & 4).
• The viscoelastic solution is injected through the two open oblong holes, (Fig.5).
• Simply slide the glider down to drive the silicone pusher forward to fold and load the IOL into the MonoGlide cartridge, (Fig.6).
• Remove the combined LRS from the Injector body and use the EasyShooter Injector as a normal, lightweight IOL Delivery System. (Fig.7).
• Gently push the injector stopper until it touches the viscoelastic and the IOL.
• Apply slight pressure to glide the viscoelastic and the IOL into the cartridge barrel.

Fig.1

• Drive the IOL through the cartridge funnel, (Fig.8).
• Insert the cartridge tip into the incision and towards the capsulorhexis.
• Deliver the IOL into the patient’s eye by applying an even pressure on the push button, (Fig 9). Push the lens through slowly and monitor the release of the IOL from the cartridge carefully, finishing before the yellow silicone stopper reaches the end of the cartridge tip.

• The “O&O mdc” Hydrophilic IOL Preloaded System can be individually packed in blisters, to ensure perfect sterile conditions. This affords an ease of use and provides a means for excellent presentation to your clients.
• IOL manufacturers can choose consecutive methods of sterilisation for their own IOL inside the Preloaded System.
• Blue PETG blister pre-cut sheets and Tyvek® lids (ALP 24 coated) are available in the following dimensions:
  Double Blister Pack :
  • 180mm x 63mm (inner blister)
  • 205mm x 105mm (outer blister)
• “O&O mdc” customers now have the opportunity of making up their own blister packs by buying flat PETG sheets and Tyvek® Lids and using the Universal Blister Packing machine, available from Tommy Nielsen in Denmark. http://www.tommy-nielsen.dk

Double Blister Pack (Inner):
180mm x 63mm

Double Blister Pack (Outer):
205mm x 105mm